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1710708599 NPI number — CAROLINA NUCLEAR GROUP, LLC

NPI Number: 1710708599
Health Care Provider/Practitioner: CAROLINA NUCLEAR GROUP, LLC

Information about “1710708599” NPI (CAROLINA NUCLEAR GROUP, LLC) exists in 1710708599 in HTML format HTML  |  1710708599 in plain Text format TXT  |  1710708599 in PDF (Portable Document Format) PDF  |  1710708599 in an XML format XML  formats.

NPI Number : 1710708599 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710708599",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAROLINA NUCLEAR GROUP, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "725 RIDING RIDGE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AIKEN",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29801-0686",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-257-0894",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "150 COACH LIGHT WAY SW",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "AIKEN",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-642-2717",
    "PracticeLocationAddressFaxNumber": "803-887-1115",
    "EnumerationDate": "10/23/2024",
    "LastUpdateDate": "08/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHEALY",
    "AuthorizedOfficialFirstName": "CARLTON",
    "AuthorizedOfficialMiddleName": "BROOKS",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "803-257-0894",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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